Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $64.75 / $118.75	Professional		$42.80	$64.75	$118.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $68.97 / $99.86	Professional		$53.04	$68.97	$99.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $57.86 / $3,026.00	Professional		$51.23	$57.86	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $71.98 / $149.93	Professional		$52.52	$71.98	$149.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $64.08 / $76.29	Professional		$57.98	$64.08	$76.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $134.00 / $198.00	Professional		$98.70	$134.00	$198.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $124.10 / $3,123.00	Professional		$72.13	$124.10	$3,123.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $108.97 / $182.32	Professional		$78.59	$108.97	$182.32